A pediatric nurse examines a 7-year-old at a well-child visit. Based on Erikson's theory, which basic task does the nurse anticipate for this child?

A.
Balance independence and self-sufficiency against uncertainty and misgiving.
B.
Develop a sense of confidence through mastery of different tasks.
C.
Develop resourcefulness to achieve and learn new things without self-reproach.
D.
Recognize there are people in his or her life who can be trusted to take care of basic needs.


ANS: B
In the trust vs. mistrust stage (birth to 1 year), the task is for the child to recognize that there are people in his or her life (parents) who can be trusted to take care of his or her basic needs. In the autonomy vs. shame and doubt stage (1 to 3 years), the task is for the child to balance independence and self-sufficiency against the predictable sense of uncertainty and misgiving when placed in life's situations. In the initiative vs. guilt stage (3 to 6 years), the child's task is to develop resourcefulness to achieve and learn new things without receiving self-reproach. In the accomplishment/industry vs. inferiority stage (6 to 12 years), the child develops a sense of confidence through mastery of tasks.

Nursing

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Which one of the following statements is true regarding the socioeconomic gradient of health?

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A nurse is caring for a patient who has been taking an antiepileptic drug for several weeks. The nurse asks the patient if the therapy is effective. The patient reports little change in seizure frequency. What will the nurse do?

a. Ask the patient to complete a seizure frequency chart for the past few weeks. b. Contact the provider to request an order for serum drug levels. c. Reinforce the need to take the medications as prescribed. d. Request an order to increase the dose of the antiepileptic drug.

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Which of the following could indicate a respiratory problem?

A. Uneven breathing B. Blue color around the lips or nose C. Gasping or gurgling D. All of these

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